DR. JORGE ENRIQUE FERNANDEZ (NPI# 1649557059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649557059 |
| Entity Type | Individual |
| Full Name | DR. JORGE ENRIQUE FERNANDEZ |
| Credential | MD |
| Practice Address |
16325 Nw 78 Th Ave Miami Lakes FL 33016 |
| Mailing Address |
16325 Nw 78th Ave Miami Lakes FL 33016-8410 |
| Practice Telephone | 7862180068 |
| Mailing Telephone | 7862180068 |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2016-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | ACN - 752 | FL | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 020989 | PR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089965 | Jorge Daniel Fernandez | Behavior Technician | 9278 Sw 146th Ct, Miami, FL 33186-1071 | 2020-10-01 |
| 1205469640 | Jorge Fernandez | Case Manager/Care Coordinator | 15115 Sw 31st Ter, Miami, FL 33185-4904 | 2020-02-13 |
| 1871147173 | Jorge Antonio Fernandez | Specialist/Technologist, Other | 6131 Aztec Rd, El Paso, TX 79925-2012 | 2019-07-25 |
| 1386109809 | Jorge Fernandez | Social Worker | 380 Mather St Apt 2111, Hamden, CT 06514-3155 | 2019-02-08 |
| 1477993574 | Jorge Luis Fernandez Jr. | Physical Therapist | 556 Hialeah Dr, Hialeah, FL 33010-5349 | 2013-07-03 |
| 1578895314 | Jorge Arturo Fernandez | Obstetrics & Gynecology | 7100 W 20th Ave Ste 803, Hialeah, FL 33016-1814 | 2010-02-04 |
| 1295778090 | Jorge Antonio Fernandez Jr. | Emergency Medicine | 393 E. Walnut Street, Pasadena, CA 91188-0001 | 2006-06-13 |
| 1952389595 | Jorge Fernandez | Licensed Practical Nurse | Ave 65 Infanterria Km 3.4, Bo Sabana Llana, San Juan, PR 00924 | 2006-01-04 |
| 1730715590 | Jorge Fernandez | Behavior Technician | 8785 Sw 165th Ave Ste 103, Miami, FL 33193-5827 | 2020-03-12 |
| 1285123950 | Jorge H Fernandez | Social Worker | 450 Brookline Ave, Boston, MA 02215-5450 | 2018-05-08 |
| Street Address |
16325 NW 78 TH AVE |
| City | MIAMI LAKES |
| State | FL |
| Zip Code | 33016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450580 | Yenly Hernandez Arrieta | Behavior Technician | 6550 West 22 Court, Hialeah, FL 33016 | 2020-09-03 |
| 1952929028 | Live Mental Care Inc | Community/Behavioral Health | 8040 Nw 95th St., Unit 226, Hialeah Gardens, FL 33016 | 2020-07-06 |
| 1497375059 | Lisset Sirven | Student in an Organized Health Care Education/Training Program | Palmetto General Hospital, 2001 W 68th St, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-23 |
| 1386264331 | Zahid Chaudhry | Student in an Organized Health Care Education/Training Program | 2001 W 68th Street, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-20 |
| 1386285021 | Monica Hurtado | Behavior Technician | 2480 W 67th Pl # 22, Hialeah, FL 33016 | 2019-10-03 |
| 1346892783 | Yamile Blanco Rodriguez | Behavior Technician | 2265 W 55th St, Hialeah, FL 33016 | 2019-07-16 |
| 1669938197 | Althea Aesthetics & Medical Arts Center | Pathology | 14160 Nw 77th Court., Suite 100, Miami Lakes, FL 33016 | 2019-02-20 |
| 1497226096 | Dominick Maurici | Physical Therapy Assistant | 9905 Nw 79 Ave, Hialeah Gardens, FL 33016 | 2018-12-09 |
| 1871061283 | Lazaro Teresa-calleja Jr. | Nurse Practitioner | 2715 West 73 Pl, Hialeah, FL 33016 | 2018-11-05 |
| 1245719640 | Yagna Elena Martinez La Fe | Nurse Practitioner | 7191 W 24th Ave Apt 56, Hialeah, FL 33016 | 2018-08-07 |
| Find all providers in zip 33016 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044293 | Jwh Miami Lakes I, LLC | General Practice | 16320 Nw 59 Ave, Miami Lakes, FL 33014-6879 | 2020-05-12 |
| 1528593696 | Esmeralda Medical Center Corp | General Practice | 14100 Palmetto Frntg Rd, Suite 105, Miami Lakes, FL 33016-1569 | 2017-04-26 |
| 1326497918 | Hilario A. Isaba Md Pa | General Practice | 7234 Bedlington Rd, Miami Lakes, FL 33014-8000 | 2016-06-06 |
| 1225435530 | Fidel Lorenzo Rodriguez | General Practice | 16836 Nw 91st Ave, Miami Lakes, FL 33018 | 2014-12-02 |
| 1932510484 | Mendez J Medical Office Pa | General Practice | 16420 Nw 59th Ave, Miami Lakes, FL 33014-5602 | 2014-05-17 |
| 1659707099 | Usa Medical Services Unlimeted Corp | General Practice | 6001 Nw 153rd St Ste 102, Miami Lakes, FL 33014-2447 | 2013-09-17 |
| 1184893034 | Professional Medical Health Services LLC | General Practice | 5190 Nw 167th St Ste 104, Miami Lakes, FL 33014-6337 | 2008-02-25 |
| 1740464825 | Care Solutions Medical Group LLC | General Practice | 15529 Bull Run Road, Miami Lakes, FL 33014 | 2007-12-24 |
| 1124646898 | Pura Vida Medical Center, LLC | General Practice | 15529 Bull Run Rd, Miami Lakes, FL 33014-7004 | 2020-07-09 |
| 1477185494 | Maria Del Carmen Curbelo Calleiro | General Practice | 5190 Nw 167th St Ste 109, Miami Lakes, FL 33014-6329 | 2020-02-07 |
| Find all providers in MIAMI LAKES | ||||
| City | MIAMI LAKES |
| Zip Code | 33016 |
Please comment or provide details below to improve the information on DR. JORGE ENRIQUE FERNANDEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.